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POS Perkins Statewide Articulation Agreement Documentation CoversheetMay 29th, 2014
Student Name: Secondary School Name:Secondary School Address: CTE Program of Study: CIP # CIP Program Name 1. CAREER AND TECHNICAL EDUCATIONTechnical Core CoursesList Technical Core Courses only below: 2. End of Program Assessment Grade 9 Grade 10 Grade 11 Grade 12 Overall Grade Point Average Technical Core Courses: / 4.0 Equate to GPA based on a 4.0 scale. Send official transcript and a copy of student diploma to postsecondary institution where student is making application for admission. Check the appropriate certificate earned by this student on the CIP end of program assessment. (attach) Pennsylvania Skills Certificate (or) Pennsylvania Certificate of Competency 3. Secondary Competency Task List signed by program instructor (attach) 4. Industry Certification(s) if applicable, (attach) Secondary School Representative (individual attesting to document verification)Signature: Print Name: Title: Date :
